Joseph Beeney PH D Psychologist Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JOSEPH BEENEY PH D PSYCHOLOGIST INC

Practice address

650 N Main St
Fort Bragg, CA 95437-3220

Phone

(707) 421-8884

NPI assigned

Jan 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Edward Beeney, PH.D.

Title

President

Phone

(707) 972-5089

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1073228698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N HARRISON ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373125",
            "telephone_number": "707-421-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373220",
            "telephone_number": "707-421-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BEENEY PH D PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BEENEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-972-5089",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Jaulus, LCSW
• Charles C Jenkins, MD
• John a. Kermen, D.O.
• Marty Christine Johnson, L.M.F.T. CA.
• Georgina Jones, RPT
• Madhup Joshi, MD
• Tantah Anna Karst, CARE MANAGER 1
• Stella Grace Katisi
• Hilary Kaye, NP
• Katrina Leah Kazarian

• Adult Mental Health Clinic/Center in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.